Wed.Sep 04, 2024

article thumbnail

Drug distributors agree to $300M settlement for role in opioid epidemic

Health Care Dive

The settlement adds to the billions of dollars that McKesson, Cencora and Cardinal have already agreed to pay in restitution for flooding the U.S. with highly addictive painkillers.

317
317
article thumbnail

Humana exiting Medicare Advantage in 13 markets

Fierce Healthcare

Humana reaffirmed its full-year guidance but is leaving 13 Medicare Advantage (MA) markets next year, Chief Financial Officer Susan Diamond said during the Wells Fargo Healthcare Conference on Wedn | Humana is pulling back from Medicare Advantage markets and cutting benefits next year. The insurer expects it will lose thousands of members and supplemental benefit utilization will be high toward the end of this year.

Medicare 315
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Rite Aid exits bankruptcy, sheds $2B in debt

Health Care Dive

After years of struggles, Rite Aid filed for bankruptcy last October and in the ensuing months worked to close hundreds of stores.

306
306
article thumbnail

Medicaid redeterminations still affecting Centene as stock plunges

Fierce Healthcare

Centene’s business is still impacted by Medicaid redeterminations, a process that began in early 2023, the company said during the Wells Fargo Healthcare Conference. | Centene's stock sunk Wednesday after the company highlighted issues it faces surrounding Medicaid redeterminations.

Medicaid 297
article thumbnail

From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

article thumbnail

Molina puts CFO in charge of Medicaid, ACA marketplace businesses

Health Care Dive

Chief financial officer Mark Keim is taking the reins of the health insurer’s bread-and-butter business — Medicaid — along with a growing marketplace division.

Medicaid 173
article thumbnail

Humana study: Senior-focused primary care can boost access, improve outcomes

Fierce Healthcare

Over the past several years, Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights areas where it's seeing success in this model. | Over the past several years, Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights areas where it's seeing success in this model.

More Trending

article thumbnail

Evernorth's Accredo to make Stelara biosimilar available at $0 out-of-pocket

Fierce Healthcare

Evernorth's Accredo specialty pharmacy will offer biosimilars for the popular immunotherapy Stelara at $0 for eligible patients, the company announced Thursday. | Evernorth's Accredo specialty pharmacy will offer biosimilars for the popular immunotherapy Stelara at $0 for eligible patients, the company announced Thursday.

276
276
article thumbnail

Safeguarding Your Health: 5 Ways Healthcare Organizations Can Navigate Cybersecurity Risks

HIT Consultant

Kevin Landt, VP Product, Cybersecurity at Thrive The healthcare industry poses a unique set of challenges when it comes to its cybersecurity framework. Hospitals, doctors’ offices, and local clinics are all home to vast amounts of sensitive patient and employee data. Hospitals alone store about 50 petabytes of sensitive data every year. In order to operate seamlessly and provide the best care possible, these healthcare havens need to ensure that their IT stack is robust.

article thumbnail

Minimizing plastics use and risk in healthcare 

Fierce Healthcare

Microplastics are everywhere, including our bodies. | In this week's episode of "Podnosis," two experts break down the history of plastics use in the healthcare sector and what it would take for an organization to phase them out.

article thumbnail

Advancing Healthcare Equity: Federal Licensure Reciprocity for Physicians Caring for Transplant Patients and Donors

Bill Of Health

By Rebecca Canino , Anne R. Links, and Fawaz Al Ammary In the face of a growing organ donation crisis in the United States, characterized by a decline in donors and a surge in transplant waitlists, it has become increasingly clear that existing regulatory barriers impede access to critical transplant services. One solution lies in dismantling the artificial barrier of state-based medical licensure, a move that holds the potential to significantly enhance access for both donors and recipients of

article thumbnail

How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

article thumbnail

The future of specialty care: Innovation for complex conditions

Fierce Healthcare

Specialty drugs are offering new hope for many patients with complex medical conditions, yet they aren’t without their challenges. | Optum’s Senior VP Peter Demogenes outlines the two typical approaches taken in managing specialty drugs and highlights the importance of innovation in both improving patient outcomes and reducing barriers.

237
237
article thumbnail

How Home Health Providers Can Avoid ‘Financial Disaster’ In Value-Based Arrangements

Home Health Care

This article is a part of your HHCN+ Membership Home health providers often pursue value-based care arrangements, with the goal of delivering quality care and achieving monetary success. But if they are not careful, these companies can also land in financial hot water. “In a value-based arrangement, a financial disaster means I’m now losing money,” Joseph Furtado, administrator of MD Home Health, told Home Health Care News.

Home Care 111
article thumbnail

Advocates rush to Congress, White House to extend telehealth prescribing for two years, after DEA's plans leaked

Fierce Healthcare

The Drug Enforcement Administration is reaching the final steps of its proposed rulemaking process for the prescription of controlled substances via telehealth, but its plans have been le | The Drug Enforcement Administration was expected to publish its proposed telehealth prescribing rule in September. A former official shared the agency's plans, which shattered the expectations of stakeholders.

320
320
article thumbnail

What is the right sample size for a qualitative interview study?

Healthcare ECONOMIST

The answer to this question, of course, depends on your specific research question. However, it is helpful to review what has been done in previous literature. A paper by Vasileiou et al. (2018) conducted a systematic literature review of all published studies using a single-interview-per-participant designs within three health-related journals: British Medical Journal (BMJ), British Journal of Health Psychology (BJHP), and Sociology of Health & Illness (SHI).

77
article thumbnail

Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

article thumbnail

Excitement around AI remains hot as health system leaders cite early successes, survey finds

Fierce Healthcare

The stir around artificial intelligence hasn't cooled in the past year, as health executives once again tapped AI as most exciting and most improved technology for the fourth year in a ro | The Center for Connected Medicine at UPMC found that AI and telehealth were the most exciting technologies for health system executives this year.

187
187
article thumbnail

Book Review: 'Command' by Lawrence Freedman

The Rand Blog

Lawrence Freedman's Command explores the political aspects of military operations since World War II, focusing on the inherent challenges of command. It highlights three key dichotomies in shaping military command: politicians versus generals, delegation versus control, and obedience versus initiative.

68
article thumbnail

High demand, slimmed length of stay fortify hospitals' margins in July

Fierce Healthcare

July was another month of operational stability and moderating expenses for hospitals, new industry data show. | Hospitals logged “improvements across the board" through July, though Kaufman Hall's latest monthly report warns that health systems are having a bit more trouble.

Hospitals 179
article thumbnail

Healthcare AI News 9/4/24

HIStalk

News A legal advisor recommends that doctors not use AI.

article thumbnail

Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

article thumbnail

'Disciplined' hospitals will prosper once post-COVID volume boom settles, Tenet CEO says

Fierce Healthcare

After weathering a few years of COVID-19 interruptions, hospitals are now riding a wave of strong demand for acute care services. | Hospitals and health systems that prioritized "disciplined" expansions and data-driven cost management will be rewarded with earnings growth after recent quarters' volume spikes return to normal, Saum Sutaria, M.D., said at the 2024 Wells Fargo Healthcare Conference.

Hospitals 138
article thumbnail

How AI Bridges The Gap Between Mental Health Appointments

HIT Consultant

Loren Larsen, CEO and co-founder of Videra Health The causes and effects of America’s mental health crisis are well-documented. Easing access to necessary clinical help has not grown in tandem. A study by the National Council for Mental Well-Being reveals that mental health services in the U.S. are insufficient despite more than half of Americans (56 percent) seeking help, with limited options and long waits becoming the norm.

Doctors 52
article thumbnail

Help at Home Announces Three Acquisitions, Expands In Key State

Home Health Care

Help at Home, one of the largest home care providers in the country, has announced three transactions. The company acquired Care By Your Side, One Care Health and AAMedcare, which are all home care providers based in Georgia. “Bringing our unique value proposition to more Georgia communities enables us to provide great days and meaningful moments,” Help at Home Chief Operating Officer Ray Smithberger said in a statement. “We continue to focus on creating an environment that sup

article thumbnail

Putting Equity Into Practice at the Health Innovation Summit

NCQA

If you’re seeking a spark of inspiration to move your health equity agenda forward, NCQA’s Health Innovation Summit is the place to find it! From October 31–November 2, health care leaders will gather in Nashville, Tennessee, to advance health care quality and work together to solve some of the industry’s most pressing challenges. Health equity is one of four key themes at the summit.

article thumbnail

How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

article thumbnail

Competition Heats Up for New York CDPAP Contract

Home Health Care

PALCO, a financial management service (FMS) provider based in Little Rock, Arkansas, has announced its participation in the bidding process to become the exclusive administrator of New York’s Consumer Directed Personal Assistance Program (CDPAP). The company, along with Alpharetta, Georgia-based Public Partnerships LLC , is one of the organizations to publicly surface as one of the contestants involved in the process.

article thumbnail

How OBGYN Practices Maximize Patient Capacity Without Adding Staff

Clearwave Inc

Reading Time: 4 minutes OBGYNs are busier than ever. With patient numbers climbing steadily year after year, practices are feeling the pressure. It’s not just about finding ways to squeeze more patients into already packed schedules, it’s about finding smarter ways to work without burning out staff or compromising care. For many practices, hiring more people isn’t always an option.

article thumbnail

Signia Launches Advanced Prescription-Grade Earbuds

HIT Consultant

What You Should Know: – Committed to helping hearing care professionals (HCPs) empower people with its breakthrough Integrated Xperience (IX) hearing aid platform, hearing aid innovator Signia has announced Signia Active Pro IX, a cutting-edge category of consumer earbuds that double as prescription-grade hearing aids and bring the power of conversation to even more wearers. – Integrated Xperience is the world’s only hearing aid platform with RealTime Conversation Enhancement Technol

article thumbnail

Readers Write: Don’t Skip the Digital Wash: 3 Cyber Hygiene Tips for Healthcare Security

HIStalk

Don’t Skip the Digital Wash: 3 Cyber Hygiene Tips for.

article thumbnail

Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

article thumbnail

A physician telehealth expert talks disparities, advocacy, behavioral health and at-home labs

Healthcare It News

For Dr. Kate Sowerwine, chief medical officer at Recuro Health, a telemedicine technology and services company, her journey into medicine was deeply influenced by the challenges her mother faced while managing her diabetes. Witnessing her struggle to navigate a complex and often overwhelming healthcare system left a lasting impression on Sowerwine. Her mother encountered multiple barriers – from understanding her condition to accessing necessary medications – and often found herself

article thumbnail

Readers Write: Leveraging the Power of Technology to Improve Behavioral Health

HIStalk

Leveraging the Power of Technology to Improve Behavioral HealthBy Shana.

67
article thumbnail

Where Democrats and Republicans Agree on Health Care Policies – From Medicare and Prescription Drugs to Gun Safety

Health Populi

In a super-divided electorate like the U.S. with about 60 days leading up to the 2024 Elections, we might assume there are no “purple” areas of agreement between the Red (Republicans) and the Blue (Democrats) thinking in PANTONE color politics. Surprisingly, there are many health policies on which Democrats and Republicans concur, as found in a series of YouGov polls conducted in May 2024.

article thumbnail

Readers Write: Virtual Care Isn’t What It Used to Be – It’s Getting Better

HIStalk

Virtual Care Isn’t What It Used to Be – It’s.

72
article thumbnail

Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.